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Unchanged elevation of right hemidiaphragm and right mediastinal shift associated with previous surgical resection. Surgical <unk> are seen in the lateral right mid lung. Lungs are clear of consolidation, pleural effusion or pulmonary edema. Heart size is normal.
<unk> year man with history of non-small cell lung cancer and esophageal cancer status post radiation surgery, now on chemotherapy with near cough. assess for pneumonia.
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In comparison to chest radiographs dated <unk>, there is new left lower lobe collapse with an increased left pleural effusion. There is no pneumothorax. The right lung is fully expanded and clear.
<unk> year old man with balloon dilation and stent removal // ? ptx
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Ap portable view of the chest was obtained. A right-sided port-a-cath is seen, distal aspect not well seen but likely terminates at the cavoatrial junction/right atrium. There is a large left pleural effusion with overlying atelectasis. Underlying consolidation is not excluded. There may be a trace right pleural effusion. The cardiac silhouette is not well assessed due to the dense left mid-to-lower hemithorax opacity. The aortic knob is calcified.
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A small right apical pneumothorax has decreased in size compared to the prior examination measuring approximately <num> cm in maximum distance from the chest wall, previously <num> cm. Cardiomediastinal silhouette is stable. Lungs are clear. There is no pleural effusion.
<unk> year old woman with r ptx <unk> shoulder trigger point injection, now s/p chest tube removal. // assess for interval change.
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Examination is limited secondary to patient body habitus, portable technique and apparent motion. There is no definite confluent consolidation although subtle opacities could certainly be missed. Enlargement of the right hilum which could represent pulmonary artery enlargement or adenopathy is noted. Cardiac silhouette is slightly prominent but this is likely accentuated by portable technique and positioning.
<unk>m with tachycardia, sob // eval for fluid overload
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The patient is status post median sternotomy. Heart size is normal. Mediastinal and hilar contours are unremarkable, and the pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated.
dyspnea on exertion, arrythmia.
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Single portable view of the chest. There diffusely increased interstitial markings in lungs bilaterally, with a more confluent consolidation at the right lung base in region of patient's known mass however, this appear slightly more extensive. There may be superimposed infection or atelectasis in setting of lower lung volumes. Cardiomediastinal silhouette is unchanged noting increased density in the right paratracheal region compatible with known adenopathy. No acute osseous abnormality.
<unk>-year-old male with chest pain, hypoxia and pneumonia. additional history obtained from medical record includes advanced non-small cell lung cancer and recent diagnosis of pulmonary embolism <unk>.
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Frontal and lateral radiographs of the chest demonstrate well-expanded and clear lungs. Cardiomediastinal and hilar contours are unremarkable. A small left-sided apical pneumothorax remains. There is no pleural effusion or consolidation.
<unk>-year-old man with recent pneumothorax.
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In comparison with the study of <unk>, the monitoring and support devices remain in place. Large hilar mass with post-obstructive atelectasis or supervening infection is again seen. No streaks of atelectasis are seen in the left mid and lower zones.
frontal brain mass and right upper lobe mass, to assess for aspiration.
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The lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. Hilar pleural surfaces are normal.
history: <unk>m with tachy, syncope // eval for pna
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The heart size is normal. The hilar and mediastinal contours are normal. No focal consolidations concerning for pneumonia are identified. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history: <unk>f s/p mva w/ l clavicular pain // l clavicular fracture?
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As compared to the previous radiograph, there is unchanged position of the endotracheal tube. The tip of the tube projects <num> cm above the carina. The other monitoring and support devices are also unchanged. Unchanged moderate cardiomegaly, minimal fluid overload but absence of pneumonia or other lung parenchymal pathologies.
endotracheal tube placement.
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Lung volumes have decreased compared to prior. Bibasilar patchy and linear opacities are likely due to atelectasis. Heart size is within normal limits.mediastinal and hilar contours are unremarkable. There is no evidence for pulmonary edema, pulmonary consolidation, pleural effusion, or pneumothorax.
<unk> year old woman with persistant cough and fatigue with cough > <num> weeks.
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Pa and lateral views of the chest. The lungs are clear. Cardiac silhouette is normal in size. Hilar and mediastinal contours are normal. No pleural or pericardial effusion. No evidence of pneumothorax. The patient is status post median sternotomy with cerclage wires and mediastinal clips
syncope, cad.
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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. Right lung base linear opacities and blunting of the right costophrenic angle are chronic and unchanged. The lungs are slightly hyperinflated, similar to prior. The lungs are otherwise clear without focal consolidation, pleural effusion, or pneumothorax.
cough.
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As compared to the previous radiograph, the left pleural effusion has substantially increased in extent and is now accompanied by substantial left lower lung atelectasis. On the right, the effusion is unchanged and overall moderate. Asymmetry of the mediastinum, caused by a known scoliosis. Moderate cardiomegaly persists. Severe degenerative shoulder changes. No evidence of new focal parenchymal opacities in the well-ventilated lung areas.
pneumonia, evaluation for pulmonary process.
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Slightly decreased small-to-moderate right pneumothorax extends from the apex to the <num>th rib with unchanged accompanying dependent small right pleural effusion. The lungs are otherwise clear with suture material from prior biopsy and calcified hilar nodes again noted. Cardiomediastinal contours are normal.
<unk>-year-old man with new pneumothorax. assess for interval change.
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Pa and lateral views of the chest were obtained demonstrating clear well expanded lungs without focal consolidation, effusion, or pneumothorax. Heart and mediastinal contours are normal. Bony structures are intact. There is no free air below the right hemidiaphragm.
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The heart is mildly increased in size and is increased compared to the prior exam. There is bilateral moderate-sized pleural effusions, pulmonary vascular redistribution, hazy ill-defined vasculature consistent with fluid overload and underlying infectious infiltrate cannot be excluded. Again seen is a hiatal hernia.
desaturation and afib, question fluid overload.
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As compared to the previous radiograph, the right basal pneumothorax is no longer visible. Moderate areas of atelectasis at both lung bases. Mild fluid overload and moderate cardiomegaly.
pneumothorax after thoracoscopy, assessment for stability.
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In comparison with the study of <unk>, there is little change in the appearance of the right pneumothorax. The left pneumothorax is not definitely appreciated. Various monitoring and support devices remain in place. Subcutaneous gas is again seen, especially in the lower neck region. Right chest tube remains in place. The pulmonary vasculature continues to improve and is now essentially within normal limits. Vague increased opacification in the right infrahilar region persists.
cocaine overdose with multisystem organ failure and bilateral pneumothoraces.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with allergic reaction // concern for pna vs other infectious process
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Cardiomegaly, a large bilateral effusions and mild pulmonary edema are stable. The sternal wires are aligned. There is no pneumothorax
<unk>m with pmh significant for likely ischemic cmp (last ef prior to this admission <unk>%), cad s/p <num>v cabg (<unk>) and pci (bms stenting in <unk>, <unk>, bms to svg to pda in <unk>), h/o atrial flutter s/p dccv in <unk> on warfarin, t<num>dm on insulin, who presented <unk> with progressive sob, found to have chf and newly depressed ef to <unk>%. he is now transferred to the ccu for cardiogenic shock. // aspiration pneumonitis?
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Again seen is the large lucency in the right mid lung, compatible with the patient's known loculated pneumothorax. There is also increased lucency at the right cp angle and right apex suggesting possible extension of this process. The left lung is clear. Impression: probable slight increase in right-sided loculated pneumothorax.
loculated pneumothorax, question worsening.
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The lung volumes are low. Borderline size of the cardiac silhouette without pulmonary edema. Crowding of the vascular structures at the lung bases and small areas of atelectasis, left more than right. No evidence of pneumonia on the current image. Of note, is a relatively dense right-sided aspect of the mediastinum, along the paratracheal stripe, that might be caused by the patient's constitution. A repeat radiograph in pa and lateral projections could clarify the mediastinal morphology.
cough and questionable pneumonia.
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As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are unchanged. The air inclusions in the soft tissues are minimally decreasing. Unchanged mild mediastinal widening and moderate cardiomegaly, a part of which can be explained by the reducing lung volumes. No newly appeared focal parenchymal opacity suggesting pneumonia.
status post esophagectomy.
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The cardiac, mediastinal and hilar contours appear stable. The patient is status post sternotomy. There is no pleural effusion or pneumothorax. The lungs appear clear. Suture anchors are again present in the right humeral head. This sternum is suboptimally visualized but there is no convincing abnormality.
incisional pain after recent coronary bypass surgery.
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Frontal and lateral chest radiographs. Single-lead pacer terminates in the right ventricle. The right hemidiaphragm is persistently elevated with blunting of the costophrenic sulcus consistent with scarring. The cardiomegaly is stable. Mild pulmonary vascular congestion is chronic. There is no large pleural effusion or pneumothorax.
substernal chest pressure. prior cabg.
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The lung volumes are lower than prior, resulting in crowding of the bronchovascular structures. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiomediastinal contours are unchanged. Hilar structures are unremarkable.
productive cough and chest pain. evaluate for infiltrate.
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The lungs are well-expanded and clear. The heart is normal in size. The mediastinum is not widened. No pleural effusion or pneumothorax. No focal consolidation or edema. No evidence of acute fracture on these nondedicated views. There may an old right lower rib fracture.
<unk>-year-old woman presenting after a fall. evaluate for pneumothorax or rib fracture.
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Lungs: the lungs are well inflated. There is no consolidation. Increased interstitial markings are seen. Pleura: no pleural effusion is seen. Heart: the heart is not enlarged. Mediastinum and hila: there is no mediastinal mass. Osseous structures: the patient is sp a sternotomy. The some surgical clips are noted. Other findings: none
<unk> year old woman with c/o sob // c/o sob
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Moderate cardiomegaly. Biapical opacities right greater than left likely represent scaring. No focal consolidation or edema. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Degenerative changes seen thoracic spine.
<unk>m with chest pain worse w/ exertion // pna
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Multiple right posterior rib fractures through <unk> to <num>th ribs and an anterior right second rib fracture, many of which are minimally displaced appear no different in comparison to the prior radiographs. No pneumothorax. Asymmetric right hemithorax volume is attributed to the multiple rib fractures. Minimal right lower lobe opacity, probably atelectasis, has significantly resolved since <unk>. Heart size is top normal, unchanged. Mediastinal and hilar contours are unremarkable. There is no pleural abnormality.
<unk>-year-old man status post fall with rib fractures.
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Pa and lateral views of the chest provided. Pleural thickening at the right lung base is chronic and accounts for blunting of the right cp angle. The heart is mildly enlarged. The mediastinal contour is unremarkable. The hila appear slightly prominent with increased bronchovascular markings which could reflect acute airways inflammation in the setting of asthma. Difficult to exclude a component of central congestion. No lobar consolidation or large effusion. No pneumothorax. Bony structures are intact.
<unk>f with asthma presents with cough and sob/wheezing eval for pna
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Right-sided port-a-cath tip terminates in the svc. The heart size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear and the pulmonary vascularity is not engorged. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are detected. No free air is seen under the diaphragms.
epigastric abdominal pain and vomiting.
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No relevant change as compared to the previous examination. Several small calcified granulomas. No suspicious lung nodules or masses. No pneumonia, no pulmonary edema. Normal size of the cardiac silhouette. Minimal elongation of the descending aorta.
<unk> year old woman with rhonhi left base // r/o mass
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Single ap upright portable view of the chest was obtained. Patchy left base retrocardiac opacity is likely due to atelectasis. If patient able, dedicated pa and lateral views of the elbow for further evaluation. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. Hilar contours are stable. Moderate cardiomegaly persists.
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There is increased retrocardiac opacity compared to the prior exam. This may be due to volume loss/ infiltrate/effusion.
<unk> year old woman with stroke // eval for pneumonia
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Interval placement of an endotracheal tube which extends to <num> cm in the carina. A gastric tube is also present extending into the body of the stomach. The right picc line has been removed. Persisting moderate to large right pleural effusion with overlying atelectasis. No pneumothorax identified.
<unk> year old man intubated // post intubation cxr
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As compared to the previous radiograph, the patient has been extubated and the nasogastric tube has been removed. A double-lumen catheter on the right is unchanged. The parenchymal opacities are apparently slightly increased in severity, but part of this impression might be due to reduced lung volumes. No pneumothorax. No pleural effusions.
hypoxia, evaluation for pulmonary process.
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When compared to <unk> chest radiograph, the previously seen right picc line has been removed. There are no complications nor pneumothorax seen. Her lungs are well expanded and clear. The cardiomediastinal, hilar and pleural surfaces are normal. There are no acute bony abnormalities.
<unk> year old woman with cough and low grade fever, on multiple immunosuppressants s/p renal transplant // r/o pneumonia
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As compared to chest radiograph from earlier same day, the tip of the endotracheal tube is <num> cm from the carina. The feeding tube tip remains at the gastroesophageal junction. The nasogastric tube tip is not visualized. The right ij catheter in similar position. Extensive subcutaneous emphysema has not significantly changed. Slight interval increase in bibasilar opacities. Widespread airspace opacities are otherwise unchanged. Right apical lucency concerning for small pneumothorax.
<unk> year old man with ards // evaluate ett placement
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The lungs remain hyperinflated. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with weakness // eval for pna
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There are subtle, spiculated densities with possible calcifications seen within the right lung base, findings which may represent scarring. There is no pneumothorax, pleural effusion, or overt pulmonary edema identified. The heart size is normal. Mediastinal contours are normal. A displaced right midclavicular fracture appears to be chronic and demonstrates nonunion.
hypertension, leukocytosis, and tachycardia.
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Pa and lateral views of the chest are provided. Lung volumes are low and evaluation is limited due to kyphotic deformity of the t-spine. There is mild pulmonary edema. Deformity of the left fifth, sixth, and seventh posterior ribs are of unclear chronicity. No pneumothorax or large effusion is seen. Given the low lung volumes, the possibility of a lower lobe consolidation is difficult to exclude. The heart and mediastinal contour are grossly unremarkable.
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Frontal and lateral views of the chest. Low lung volumes are again seen with crowding of the pulmonary bronchovascular markings with likely superimposed vascular congestion. There is no large effusion or confluent consolidation. Streaky bibasilar opacities suggestive of atelectasis, more so on the left, as noted on prior. Postoperative changes of aortic valve replacement seen with median sternotomy wires and prosthetic aortic valve. No acute osseous abnormality is detected.
<unk>-year-old male status post aortic valve replacement with shortness of breath.
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The lungs are normally expanded. No focal airspace opacity is detected. There is perhaps minimal atelectasis at the left base, similar to the prior study. The heart is not enlarged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.
shortness of breath for two days with cough and fever. rule out acute process.
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Cardiac silhouette is upper limits of normal in size and accompanied by new pulmonary vascular congestion and bilateral asymmetrically distributed perihilar opacities, likely due to asymmetrical pulmonary edema. This is worse on the right than the left. Previously described peripheral right basilar opacity is less apparent than on the previous study, but is difficult to assess in the setting of new acute findings. Small pleural effusions have also developed, left greater than right. Given clinical suspicion for pneumonia, followup radiographs after diuresis may be helpful to distinguish asymmetrical edema from infection.
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There are extensive bilateral pulmonary opacities most likely representing multifocal pneumonia. This is less likely to be florid pulmonary edema due to lack of concomitant pleural effusions or cardiomegaly. Underlying metastatic disease cannot be excluded. There is widening of the superior aspect of the mediastinum. The heart is normal in size. A left lateral lower rib appears expanded and sclerotic likely due to metastases better evaluated on prior bone scans.
history: <unk>m with sob, hypoxia // ? pna
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The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
shortness of breath and cough.
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The lung volumes are normal. There is a diffuse increase in interstitial structures, combined to mild cardiomegaly. The findings are suggestive of mild-to-moderate pulmonary edema. Moderate cardiomegaly with tortuosity of the thoracic aorta. No pleural effusions. No focal parenchymal opacity suggesting pneumonia. Left pectoral pacemaker with correct position of the pacemaker leads.
chest discomfort, evaluation for pneumonia or mass.
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The patient is status post median sternotomy and cabg and coronary artery stenting. The cardiac and mediastinal silhouettes are stable. There appears to be a small left pleural effusion. No definite focal consolidation is seen. There is no pneumothorax. Mild anterior compression of a mid thoracic vertebral body.
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There is persistent opacification of the left hemithorax with leftward mediastinal shift suggesting collapse of the left lower lobe. A large left pleural effusion is unchanged. Compared with the immediate prior study of <unk> at <time>, there is slightly improved aeration of the left mainstem bronchus as well as slightly increased air in the left lung field. However, the partially visualized left-sided airways appear abnormal, suggesting widespread bronchiectasis. The pulmonary edema in the right lung appears slightly improved, but there abnormal opacities throughout the right lung, suggesting underlying chronic pulmonary disease. If no cross-sectional imaging has been performed to date (none is available for review at this time), ct is recommended for further evaluation of any underlying parenchymal process. The endotracheal tube and enteric tube are in unchanged standard position. There are multilevel age indeterminate vertebral compression fractures of the visualized thoracic spine.
<unk> year old man with copd, chronic left lung collapse and recurrent pna s/p bronchoscopy and suction of seretions // improvement of l lung collapse
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Evaluation is limited due to patient body habitus. Lung volumes are low and exaggerate the pulmonary vascular markings. There is mild right basilar and left retrocardiac atelectasis; otherwise, the lungs are clear and without a focal consolidation, effusion, or pneumothorax. A tracheostomy button is noted in the upper trachea. Cardiac silhouette is exaggerated.
shortness of breath.
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Pa and lateral views of the chest demonstrate the lungs are well expanded, with no evidence of pleural effusion, pulmonary edema, pneumothorax or focal consolidation concerning for pneumonia. A hypoplastic right first rib is again noted. The aorta is mildly tortuous, otherwise cardiomediastinal silhouette is unremarkable.
<unk>-year-old female with chest tightness.
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There has been interval removal of a right internal jugular central venous catheter. No pneumothorax. The lungs are well expanded and clear. Mediastinal contours, hila, and cardiac silhouette are stable. There has been resolution of a left-sided pleural effusion since <unk>. Residual pneumoperitoneum is decreased from <unk>.
<unk> year old man with new ams and leukocytosis // evaluate for pneumonia
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The cardiomediastinal and hilar contours are normal. Lung volumes are somewhat low. There is an opacity in the right lower lobe consistent with pneumonia. There are small bilateral effusions. There is no pneumothorax.
<unk> year old woman with melanoma not on treatment, about to start xrt, now with new fever. // please evaluate for infection.
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Lung volumes are low with bronchovascular crowding. Streaky horizontal opacities in the left lung base it is probably atelectasis. Retrocardiac opacity with slight indistinctness of the lateral aspect of the descending aorta may also reflect atelectasis, although concurrent infection appropriate clinical situation is possible. No edema, effusion, or pneumothorax. The heart is top-normal in size. No acute osseous abnormality. Degenerative changes in in the bilateral ac joints are moderate. Moderate degenerative change since the visualized thoracic spine.
<unk>m with confusion // eval for infiltrate
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Frontal and lateral chest radiographs demonstrate a left chest wall pacer device with leads overlying the right atrium and ventricle, as well as mediastinal clips and sternal wires. Moderate cardiomegaly is unchanged. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
evaluate for pneumonia or mass, in a patient with dyspnea.
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The lungs are mildly hyperexpanded. There is mild cardiomegaly. There is no pleural effusion. Lung fields are clear. There is no pneumothorax.
history: <unk>m with productive cough // pneumonia?
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A single portable semi-erect chest radiograph was obtained. Right basilar atelectasis has increased since yesterday's exam. A curvilinear lucent line is newly noted at the right lung apex. It is difficult to assess for lung markings beyond this line due to overlying rib shadows. Tracheostomy tube remains in the upper trachea. A left internal jugular catheter ends in the upper svc. Dual-chamber pacing leads project in unchanged positions. A dobbhoff tube is seen in the stomach. A mitral valve ring is in unchanged position.
<unk>-year-old man with tracheostomy and plan for external ventricular drain.
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Mild linear atelectasis is seen at the left lung base. The lungs are otherwise grossly clear without lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. Mild cardiomegaly is unchanged. No free air seen beneath the diaphragm.
history: <unk>m with cp/sob // sob
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Since the prior examination, bilateral pleural effusions have resolved. The cardiac silhouette is borderline enlarged. The mediastinal silhouette is unremarkable and unchanged since the prior examination. No focal consolidation is identified. There is no evidence of pulmonary edema.
<unk> year old man with asthmatic bronchitis and cardiomyopathy // r/o infiltrate or chf
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The recent radiographs documenting the pneumonia are not available for comparison. There is a moderate hiatal hernia and moderate tortuosity of the thoracic aorta. Mild cardiomegaly without evidence of pulmonary edema. On the lateral image, better than on the frontal one, a small peribronchial opacity is seen, located at the right medial lung base. This change could reflect the healing pneumonia. No evidence of recent infection. Normal hilar and mediastinal structures. No pleural effusions.
history of pneumonia, now asymptomatic, evaluation for resolution.
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Frontal and lateral views of the chest are obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable.
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Cardiac silhouette size is normal. The aorta is diffusely calcified. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Small left pleural effusion is new with left lower lobe opacity possibly reflective of compressive atelectasis or pneumonia. A small right pleural effusion is also likely present. No pneumothorax is present. An azygos lobe is incidentally detected. No acute osseous abnormalities identified.
history: <unk>m with generalized weakness and shortness of breath
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When compared to recent exam, there has been mild interval clearance of the right middle lobe consolidation and increased opacity in the right hilum are again noted. The left lung is clear. Cardiac silhouette is enlarged but stable. Prosthetic aortic valve is again noted. Median sternotomy wires and mediastinal clips are noted. No acute osseous abnormalities.
<unk>m with recent dx of right sided pna // r/o acute process
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The lungs are clear without consolidations or edema. There is no pleural effusion or pneumothorax. There is mild cardiomegaly with a left ventricular predominance. The mediastinum is normal. There are degenerative changes of the thoracic spine with mild loss of vertebral height in the mid thoracic spine vertebral bodies. This is unchanged from the prior exam. No fractures are identified.
dyspnea on exertion.
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The lungs well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
<unk>m with syncope // ?pna
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Faint right lung interstitial opacities and with stable prominence of the azygos vein are most likely due to pulmonary edema. A bandlike opacity projecting over the right mid lung corresponds to right middle lobe bronchiectasis and atelectasis. There is no pneumothorax or pleural effusion. Stable moderate cardiomegaly despite the projection is present.
<unk> year old woman with htn, hld, tobacco abuse here with stemi // volume status
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Left chest tube is grossly unchanged in position. There is a persistent small left apical pneumothorax, grossly unchanged from prior. There is lucency projecting over the left lateral hemi thorax with an air-fluid level. Small left-sided pleural effusion is unchanged. The right lung is grossly clear. Cardiomediastinal silhouette is unchanged.
<unk> year old man s/p l vats blebectomy/pleurodesis, check interval change with cts on waterseal, please do around <num> pm
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The cardiac, mediastinal and hilar contours appear unchanged including mild cardiomegaly. There is no pleural effusion or pneumothorax. The lungs appear clear.
altered mental status.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with chest pressure.
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Single ap portable view of the chest. Exam is limited due to low lung volumes and respiratory motion. There is no large confluent consolidation. There is blunting of the lateral costophrenic angles which could be due to limitations outlined above noting effusions are not excluded. Cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch. Degenerative changes seen at the left shoulder.
<unk>-year-old male pre-op.
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Rather extensive multifocal pleural soft tissue thickening, caused by areas of rib destruction, better visualized on the previous torso ct from <unk>. As compared to the ct, the areas of destruction and pleural reaction have increased in extent and severity. The left hilar mass has also slightly increased in size. Currently, there is no indication for acute lung disease. The cervical fixation devices, the post-surgical clips and the paramediastinal clips are in expected position.
baseline examination, prior to start of new therapy.
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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The aorta is tortuous. The cardiac silhouette is not enlarged.
history: <unk>f with hyperglycemia and presumed infection // pna?
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In comparison with the earlier study of this date, the monitoring and support devices are essentially unchanged. Again there is enlargement of the cardiac silhouette with prominence of the upper mediastinum as well as opacification in the left apical region consistent with pleural fluid. Retrocardiac opacification persists, and the right lung is essentially clear. This information was telephoned to dr. <unk>.
cardiac surgery.
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A single ap chest radiograph was obtained. The lungs are well expanded. Linear opacities in the right lung base are predominantly horizontal. There is no focal consolidation, effusion, or pneumothorax. There are no abnormal cardiac or mediastinal contours.
shortness of breath
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Portable semi-upright frontal chest radiograph demonstrates clear lungs without pleural effusion or pneumothorax. The cardiac silhouette is normal in size, the mediastinal contours are normal.
<unk>-year-old male with hypoxia.
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Ap portable upright frontal and lateral views of the chest provided. Dual-lead pacer is unchanged. There is pulmonary edema re-demonstrated with bilateral small to moderate pleural effusions, right greater than left. No pneumothorax is seen. The heart size appears grossly stable. A vascular stent is again noted within the region of the ascending aorta. The imaged osseous structures are intact. Dish-related changes of the t-spine noted.
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In comparison with the earlier study of this date, there is little change in the diffuse bilateral pulmonary opacifications with differential diagnosis as previously described. Bilateral pleural effusions are seen, more prominent on the left.
hypoxemia with crackles.
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The left pectoral transvenous pacer is positioned with tip terminating in the right ventricle. The lungs are well expanded and clear. The hila and pulmonary vasculature are normal. No pleural effusions or pneumothorax. The cardiomediastinal silhouette is normal. No obvious osseous abnormalities.
<unk> year old man with pacemaker // eval for leads and position
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Pa and lateral views of the chest provided. Mild scarring is again noted in the right upper lobe. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Imaged portion of the thoracic spine appears intact.
<unk>f with upper back pain // r/o acute process
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The heart is top-normal in size on this ap projection. The right heart border is not clearly seen which may be due to prominent mediastinal soft tissue or consolidation/atelectasis involving the right middle lobe. There is no pleural effusion or pneumothorax.
<unk>f with stroke rule out pna
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Lung volumes are low. This slightly limits assessment of the lung bases. The heart size is top normal. The aorta is mildly unfolded. The pulmonary vascularity is not engorged. Minimal streaky opacities in the lung bases likely reflect atelectasis. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
new onset ankle swelling.
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Single portable supine chest radiograph is provided. Patient has been newly intubated with the endotracheal tube in the mid trachea, <num> cm above the carina. A right port catheter tip is at the cavoatrial junction. Compared to the most recent prior study, there are now diffuse bilateral pulmonary opacities which most likely represent pulmonary edema. There is a small left pleural effusion. There is no pneumothorax. The cardiac silhouette is stable. Imaged upper abdomen is unremarkable. The bones are intact.
<unk>-year-old woman with septic shock, emergently intubated, new left bundle-branch block.
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Et tube tip is seen <num> cm from the carina. Enteric tube is seen at the upper aspect of the field of view likely coiled in the pharynx. Otherwise, there has been no change.
<unk>f with ngt placed // eval ngt
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The cardiac, mediastinal and hilar contours are stable. There is a new patchy opacity in the right lower lobe since prior studies. There is no pleural effusion or pneumothorax. The chest is hyperinflated.
fever. question infiltrate.
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Left-sided aicd /pacemaker seen device is noted with leads terminating in right atrium and right ventricle. Cardiac silhouette size is mildly enlarged with a left ventricular predominance. The aorta is tortuous and demonstrates diffuse atherosclerotic calcifications. Lung volumes are low. Pulmonary vascularity is within normal limits without evidence of pulmonary edema. No focal consolidation, pleural effusion or pneumothorax is present. Widening of the right paratracheal stripe is likely related to low lung volumes. There are no acute osseous abnormalities. Mild deformity of the mid shaft of the left clavicle may suggest a remote healed fracture. No free air is noted under the diaphragms.
vomiting and hypotension.
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The lungs are clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours.
sudden onset pain assess for pneumothorax.
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In comparison with the study of <unk>, the tip of the endotracheal tube now measures approximately <num> cm above the carina. Nasogastric tube is in the stomach, though the side hole may well be above the esophagogastric junction. The tube should be pushed forward several cm. No evidence of acute cardiopulmonary disease.
toxic overdose for et tube placement.
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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.dextroscoliosis of the thoracic spine noted.
<unk>f with respiratory arrest, heroin od. eval for acute process.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The heart is somewhat smaller in size compared to <unk>, though still mildly enlarged. Moderate left pleural effusion is larger. Small right effusion has improved. Lung volumes remain low. There is a homogeneous area of opacification within the left lower lobe, likely atelectasis. No pneumothorax or pulmonary edema.
<unk> year old man with pleural effusion // eval
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As compared to a previous radiograph, the chest tube on the left has been removed. Neither the frontal nor the lateral radiographs show convincing evidence for the presence of pneumothorax. Atelectasis at the left lung bases persist but are less extensive as compared to the previous radiograph. The air collections in the left lateral soft tissues is unchanged. Unchanged appearance of the cardiac silhouette and of the right lung.
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Ap single view of the chest has been obtained with patient in semi-upright position. Comparison is made with a similar preceding examination obtained one day earlier. The findings are completely unchanged. Port-a-cath system as before. Heart size and mediastinal structures are unchanged. Crowded pulmonary vasculature, as before, indicating poor inspirational effort, but no evidence of any new parenchymal infiltrates. Diaphragmatic contours well delineated and lateral pleural sinuses are free.
<unk>-year-old male patient with catatonia, now with recent temperature spike to <num>. recently started eating, concern for aspiration.
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Frontal and lateral views of the chest. On the lungs remain clear. There is no effusion, consolidation, or pulmonary vascular congestion. Cardiomediastinal silhouette is unchanged. Mid thoracic dextroscoliosis is again noted as well as hypertrophic changes in the spine.
<unk>-year-old female with chest pain.
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The right-sided chest tube is been removed.the appearance of the lungs is not substantially changed
<unk> year old woman with gastric cancer on chemo ? lung drug rexction s/p r vats wedge resection x<num> // please assess for interval change
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Pa and lateral views of the chest provided. Electronic device appears implanted in the chest wall projecting over the left heart border. Lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with chest pain x <num> episodes
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Comparison is made to a prior study from <unk>. There is no appreciable difference in the pleural effusions, left or right. There are no pneumothoraces. There is a right-sided port-a-cath with distal lead tip in the mid svc. Heart size is within normal limits.
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As compared to the previous radiograph, there is a newly-appeared small left pleural effusion and a subsequent left atelectasis at the level of the lower lobe. No pneumonia. Minimal atelectasis at the right lung base. Unchanged course and position of the right picc line.
fever and cough, questionable pneumonia.